IMPORTANT APPLICATION NOTESPlease read the following instructions carefully. This application must be accompanied by copies of the documents listed in (c) below. The originals should NOT be forwarded but must be produced later. All information required must be supplied. If not applicable, write N.A. False particulars or wilful suppression of material facts will render you liable to disqualification. Please complete and submit the application form together with the following: One passport-sized photo Educational certificates Academic transcripts (for current students) ● Copy of NRIC / Passport ● Co Curricular Activities (CCA) records ● Educational institution medical report (if applicable)

Letter of Acceptance from the relevant educational institution (if applicable)

2

AWARD APPLYING FORPlease indicate with (X) the award you are applying for. NURSING Sponsorship / Scholarship for Bachelor of Science (Nursing) Sponsorship for Diploma in Nursing Sponsorship for NITEC in Nursing HEALTH SCIENCE Scholarship for Degree in Health Science (indicate field of study) Health Science Sponsorship for Diploma in Diagnostic Radiography Health Science Sponsorship for Diploma in Physiotherapy Health Science Sponsorship for Diploma in Occupational Therapy Name of Institute: Field of Study: (please fill in if the field of study is not indicated on the left column) Year of study (as at application): Year of study (as at application): Course Commencement Date : Course Commencement Date : Name of Institute:

3

PERSONAL PARTICULARS
*Please delete where appropriate. Full Name (Please underline family name) Name in Chinese Character (if any)

NRIC / Passport No:

*Colour of Singapore IC : Pink / Blue / Not Applicable

*Gender

Male / Female

Address in Singapore

Overseas Address (compulsory for foreigners)

Date of Birth (dd/mm/yyyy)

Country of Birth

Age

Race

Marital Status

Nationality

Religion

Dialect Group

Email Address

Contact No Home Handphone

4

IMMEDIATE FAMILY MEMBERS PARTICULARS
Full Name Relationship Occupation Employer

Father

Mother

5

NATIONAL SERVICE (if applicable)
For those who have completed National Service, a copy of the Certifcate of Conduct should be attached. Enlistment Date (dd/mm/yyyy) Operational Ready Date (dd/mm/yyyy) Distruption Period (if any)

If exempted, please state reason

6
i.

EDUCATION
Name of Exam: Period of Study (From) Period of Study (To)

Name of Institution

Stream of Study

Subject

Grade

Subject

Grade

ii

Name of Exam:

Period of Study (From)

Period of Study (To)

Name of Institution

Stream of Study

Subject

Grade

Subject

Grade

7

CO-CURRICULAR ACTIVITIESPlease fill in your CCA records from Secondary to Pre-University levels in chronological order. Please attach records separately if space is insufficient. Institution CCA Activities Position Description of involvement Year of Event

OTHER INFORMATION* Please delete where applicable. Have you previously applied for any sponsorship with JurongHealth? If yes, please provide details Have you applied for other scholarships/bursaries/awards? If yes, please provide details Are you currently a recipient of other scholarships/bursaries/awards? If yes, please provide details Have you been or are suffering from any disease/illness/major medical condition or physical impairment? If yes, please provide details Have you been convicted in a court of law in any country? If yes, please provide details *Yes / No *Yes / No *Yes / No *Yes...

YOU MAY ALSO FIND THESE DOCUMENTS HELPFUL

...Problems of Solid Waste Management in Oye Ekiti
ABSTRACT
The study sought to identify the problems of solid waste management in Oye Local Government Area in Ekiti State. The two broad types of data, the secondary and primary data were used in the study. Interviews and personal observations were also used to collect some of the data. Factors impeding the effective and efficient solid waste management were identified. Wrong attitudes and perceptions of the people about sanitation issues contributed to solid waste management problems of the L.G.A. Majority of the households did not educate their members on the need to clean their surroundings. A greater percentage of the household did not have a toilet facility. Virtually, all the people depended on the Local GOVERNMENT Authority facilities for the disposal of their household refuse. Solid waste management problems were partly the results of L.G.A’s inability to cope with the situation because of lack of equipment and personnel. In addition, lack of proper incentives for the workers working in Environmental Health Department of L.G.A also partly explained the problem. It was recommended that more education should be provided by the Health workers to...

...Have you ever wondered that you are having such a great adventure around the world, chased by a giant mafia organization before? If you haven't and you want to, then you will love this book a lot.
Uder is a fiction novel written by Moses Oyes. It's about an orphan boy named Uder who runs from a foster home and live in a low settlement called "Texas". There he meets Jenggo, an ex-professional thief who teaches him how to be an even much more professional thief.
Years later, a small girl named Tina and her autistic friend, Ong Wie come and live in"Texas" with Uder. Together they become a professional thief team.
One day, they accidentally get in touch with FM Brotherhood, an international giant criminal organization in the world. The FM Brotherhood hire them to seek an heirloom called "Tree of Life" from the land of Borneo.
Uder and his friends begin their journey in Borneo and get taught about the original concept of the "Tree of Life" which called "Batang Garing Belom" by the local people.
Apparently, inside the organization of FM Brotherhood there are conflicts to claim the highest throne in FM Brotherhood. It brings Uder and his friends into the family war of FM Brotherhood in Sydney, Australia.
While trying to relinquish himself from the war inside the organization of FM Brotherhood, he has to fight so hardly to safe Tina and Ong Wie.
This teaches us how deep a true friendship worth and how we have to truly appreciate our culture. The writer takes...